A systematic review of laparoscopic port site hernias in gastrointestinal surgery.

Hdl Handle:
http://hdl.handle.net/10147/207675
Title:
A systematic review of laparoscopic port site hernias in gastrointestinal surgery.
Authors:
Owens, M; Barry, M; Janjua, A Z; Winter, D C
Affiliation:
Department of Surgery, St. Vincent's University Hospital, Dublin, Ireland.
Citation:
Surgeon. 2011 Aug;9(4):218-24. Epub 2011 Feb 1.
Journal:
The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207675
DOI:
10.1016/j.surge.2011.01.003
PubMed ID:
21672662
Abstract:
INTRODUCTION: Port site hernia is an important yet under-recognised complication of laparoscopic surgery, which carries a high risk of strangulation due to the small size of the defect involved. The purpose of this study was to examine the incidence, classification, and pathogenesis of this complication, and to evaluate strategies to prevent and treat it. METHODS: Medline was searched using the words "port site hernia", "laparoscopic port hernia" "laparoscopic complications" and "trocar site hernias". The search was limited to articles on cholecystectomy, colorectal, bariatric or anti-reflux surgery published in English. A total of 42 articles were analysed and of these 35 were deemed eligible for review. Inclusion criteria were laparoscopic gastrointestinal surgery in English only with reported incidence of port site herniation. Studies were excluded if insufficient data was provided. Eligible studies were also cross-referenced. RESULTS: Analysis of 11,699 patients undergoing laparoscopic gastrointestinal procedures demonstrated an incidence of port site hernias of 0.74% with a mean follow-up of 23.9 months. The lowest incidence of port site herniation was for bariatric surgery with 0.57% in 2644 patients with a mean follow-up of 67.4 months while the highest incidence was for laparoscopic colorectal surgery with an incidence of 1.47% in 477 patients with a mean follow-up of 71.5 months. CONCLUSION: All fascial defects larger than or equal to 10mm should be closed with peritoneum, while smaller defects may require closure in certain circumstances to prevent herniation. Laparoscopic port site herniation is a completely preventable cause of morbidity that requires a second surgical procedure to repair.
Language:
eng
MeSH:
*Hernia, Ventral/diagnosis/epidemiology/etiology; Humans; Incidence; Laparoscopes/*adverse effects; Laparoscopy/*adverse effects; Risk Factors; United States/epidemiology
ISSN:
1479-666X (Print); 1479-666X (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorOwens, Men_GB
dc.contributor.authorBarry, Men_GB
dc.contributor.authorJanjua, A Zen_GB
dc.contributor.authorWinter, D Cen_GB
dc.date.accessioned2012-02-01T10:34:38Z-
dc.date.available2012-02-01T10:34:38Z-
dc.date.issued2012-02-01T10:34:38Z-
dc.identifier.citationSurgeon. 2011 Aug;9(4):218-24. Epub 2011 Feb 1.en_GB
dc.identifier.issn1479-666X (Print)en_GB
dc.identifier.issn1479-666X (Linking)en_GB
dc.identifier.pmid21672662en_GB
dc.identifier.doi10.1016/j.surge.2011.01.003en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207675-
dc.description.abstractINTRODUCTION: Port site hernia is an important yet under-recognised complication of laparoscopic surgery, which carries a high risk of strangulation due to the small size of the defect involved. The purpose of this study was to examine the incidence, classification, and pathogenesis of this complication, and to evaluate strategies to prevent and treat it. METHODS: Medline was searched using the words "port site hernia", "laparoscopic port hernia" "laparoscopic complications" and "trocar site hernias". The search was limited to articles on cholecystectomy, colorectal, bariatric or anti-reflux surgery published in English. A total of 42 articles were analysed and of these 35 were deemed eligible for review. Inclusion criteria were laparoscopic gastrointestinal surgery in English only with reported incidence of port site herniation. Studies were excluded if insufficient data was provided. Eligible studies were also cross-referenced. RESULTS: Analysis of 11,699 patients undergoing laparoscopic gastrointestinal procedures demonstrated an incidence of port site hernias of 0.74% with a mean follow-up of 23.9 months. The lowest incidence of port site herniation was for bariatric surgery with 0.57% in 2644 patients with a mean follow-up of 67.4 months while the highest incidence was for laparoscopic colorectal surgery with an incidence of 1.47% in 477 patients with a mean follow-up of 71.5 months. CONCLUSION: All fascial defects larger than or equal to 10mm should be closed with peritoneum, while smaller defects may require closure in certain circumstances to prevent herniation. Laparoscopic port site herniation is a completely preventable cause of morbidity that requires a second surgical procedure to repair.en_GB
dc.language.isoengen_GB
dc.subject.mesh*Hernia, Ventral/diagnosis/epidemiology/etiologyen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIncidenceen_GB
dc.subject.meshLaparoscopes/*adverse effectsen_GB
dc.subject.meshLaparoscopy/*adverse effectsen_GB
dc.subject.meshRisk Factorsen_GB
dc.subject.meshUnited States/epidemiologyen_GB
dc.titleA systematic review of laparoscopic port site hernias in gastrointestinal surgery.en_GB
dc.contributor.departmentDepartment of Surgery, St. Vincent's University Hospital, Dublin, Ireland.en_GB
dc.identifier.journalThe surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Irelanden_GB
dc.description.provinceLeinster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.